Individual
DR. PRESTON S EISWIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5217 S STATE ST STE 200, MURRAY, UT 84107-4812
(801) 313-4118
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
036145099
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
113553681205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2013
Last updated
04/12/2022
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